Mrs Monique Bianca Declouet-dixon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Washington, Louisiana. Her current practice location is
536 St. Landry Veterans Memorial Hwy, Washington, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 628-5014.
Mrs Monique Bianca Declouet-dixon is licensed to practice in Louisiana (license number AP059059) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336475813.
Provider's Profile
Full Name | Mrs Monique Bianca Declouet-dixon |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 536 St. Landry Veterans Memorial Hwy, Washington, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336475813
- Provider Enumeration Date: 10/19/2009
- Last Update Date: 10/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 6901934694
- Enrollment ID: I20100518000383
Medical Identifiers
Medical identifiers for Mrs Monique Bianca Declouet-dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336475813 | NPI | - | NPPES |
1820105 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP059059 (Louisiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Monique Bianca Declouet-dixon allows following entities to bill medicare on her behalf.
Entity Name | Hulin Urgent Care Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Monique Bianca Declouet-dixon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Monique Bianca Declouet-dixon, FNP Po Box 596, Washington, LA 70589-0596 Ph: (337) 628-5014 | Mrs Monique Bianca Declouet-dixon, FNP 536 St. Landry Veterans Memorial Hwy, Washington, LA 70589 Ph: (337) 628-5014 |
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